Provider Demographics
NPI:1285743286
Name:KNISELEY, LUCY (MSN, RNCS)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:
Last Name:KNISELEY
Suffix:
Gender:F
Credentials:MSN, RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STUDENT HEALTH CENTER UNIVERSITY OF TN
Mailing Address - Street 2:1800 VOLUNTEER BLVD
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37996-0001
Mailing Address - Country:US
Mailing Address - Phone:865-974-2251
Mailing Address - Fax:865-974-7039
Practice Address - Street 1:STUDENT HEALTH CENTER UNIVERSITY OF TN
Practice Address - Street 2:1800 VOLUNTEER BLVD
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37996-0001
Practice Address - Country:US
Practice Address - Phone:865-974-2251
Practice Address - Fax:865-974-7039
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN47671364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult